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O <br />CITY OF SOUTH BEND Z <br />o <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN 4 z <br />FORM MBE-1.0 <br />MBE UTILIZATION PLAN <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE participation. It is <br />the bidder's sole responsibility to verify whether any listed minority -owned business meets the MBE qualifications. <br />***Goals should be calculated based on the Base Bid only.*** <br />Project Number <br />Bidder: <br />123-076 <br />The MRD Group, Inc. <br />Project Name: <br />Demolition of the South Bend Medical Foundation, 531 N. Main Street, South <br />Bend, IN <br />Total Bid Amount: 1,763,000.00 MBE Goal: 1.4% <br />Page 1 of 1 <br />Name & Address of MBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of MBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />1 st Class Logistic, LLC <br />South Bend, IN <br />Bernard Coutee <br />574-993-0071 <br />Trucking of Recyclable Material and Fill Mate <br />al <br />5.2 <br />Submitted by: Gerald Blomberg &,�.jo <br />Print Name Signature <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works - 10 <br />05/24/2024 <br />Date <br />